227
Date Received:
Chris Masterson 0
Christine Fulton 0
Sue Rose '~
L/U/JL
it rYc)7
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
FOIL Ser. #:
O'Y.YW~!:~I
~.~.. . ....}"~..
~-' . '. ,,~.
'0 i . ,,":"
,,... . .,.
'O'\~.\~
c. . .' f~!
, ,..' / ..../
(', . . A., ,
~~ss u co~~ '
DEPARTMENT: ~
ASSESSOR FOR DEPARTMENT USE ONLY
ACCOUNTING 0
CODE ENFORCEMENT 0 Date Received by Dept ~/lel..llL
PLANNING 0 Department Head approval: ~
ZONING 0 (init)
FIRE INSPECTOR 0 Date Applicant Contacted: I /
HIGHWAY 0 ---
RECENER OF TAXES 0 Date FOIL fulfilled or denied: / I
RECREATION 0 ---
SUPERVISOR 0 Closed by: rJ(2./r
TOWN CLERK 0
WATER/SEWER 0 Date: .L/{iL/~
DOG CONTROL OFFICER 0 Notes:
TOWN ENGINEER 0
TOWN ATTORNEY 0 Amount Due: JL. Pages for a total of $ !),~ 0 D
Name: A~ #i i'Yl "1 f/IJJ~ till C'
Address: ~ Du..s.'i. E J... J
ka - c)lI1c;~>~ ~ { <;, tJ{ P- S Yo
Agency or firm: ,
Telephone #: (Sir;) Jiik. 2<6 rJ1 FAX #: ( )_-
Email address:
o check here if you are
requesting that the records
be mailed to this address.
/~ r1t)
, .
FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record( s) described above
o I request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
o I request that the records be sent via e-mail to the address listed above
o I request that the records be faxed to the number listed above